Study Guides test 1 Flashcards
This palpation to text service characteristic in a custom the person to be touched
Light palpation
Use relaxation techniques such as imaginary or deep breathing, altering pressure is better than one long continuous palpation avoid any situation in which the palpation could be causing internal injury or pain
Deep palpation
Requires the use of both of your hands to capture certain body parts such as organs kidneys uterus
Bimamual palpation
Part of stethoscope used for low frequency sounds
Traditional bell mode- press light on skin
Part of stethoscope for high frequency sounds
Traditional diaphragm mode - press firm on skin
Environmental conditions to consider for exam setting
Warm and comfortable, quiet, private, well lit
No distractions, noises, radio or television
Natural lighting is best
Position examination table so side of the person are easily accessible, The table should be at a height which you can stand without stooping and raise the persons head up 45°
Use a bedside stand for your equipment
Define the 4 physical examination skills?
inspection is concentrate and watching
Palpation confirms points that you noted during inspection Texter temperature and moisture swelling vibration pulsation rigidity lumps masses tenderness pain
Percussionist have been the person skin with short sharp stroke
Ask elation is listening to sounds produced by the body such as the heart and blood vessels in the lungs and abdomen
Part of hand beat for detecting vibration
ulnar surface of the hand
Where the stationary finger is struck when performing indirect percussion?
At the distal interphalangeal joint
Which assessment technique will you use first?
Inspection
How should the nurse assess abdomen by palpation ?
Start with light to detect surface characteristics and to accustom the client to being touched
When the examiner enters the room and the infant is sleeping , what to do first ?
Heart, lungs, abdomen infection
What’s the best description of the pitch of a sounds wave obtained by percussion
The number of vibrations per second
Factors that affect bp
Age Race Diurnal rhythm Weight Exercise Emotions Stress
Gait is as wide as what?
Shoulder width
Normal oral temp ranges from what?? but depends on?
96.4-99.1
Age
How to know the cuff is the right size for patient arm?
Make sure width is 40% of the arm
Best way to determine how far to inflate bp cuff ?
Palpate radial pulse while inflating , when non palpable add 30 above
Process of nociception
Transduction
Transmission
Perception
Modulation
The pain message is inhibited
Modulation
Signifies the conscious awareness of a painful sensation
Perception
The pain impulse moves from the level of the spinal cord to the brain
Transmission
Noxious stimulus In the form of Trumatic or chemical injury, burn, incision, or tumor it takes place in the periphery
Transduction
Pain but does not adhere to the typical and predictable phases. Often after injury heals
Neuropathic pain
